<script>
  <?php if(isset($_GET['notif'])){ ?>
    alert('Thanks for your feedback.');
  <?php } ?>
  </script>

<div class='mainContainer home'> <!-- Main div for the contain, behaves like a table-->
	<div><!-- Direct child of mainContainer, behaves like a table cell-->
		<h2 class='differentAlign'>Contact <span class='differentHeading'>Us</span></h2>
		<div class='spacer'>&nbsp;</div>

      <?php $form=$this->beginWidget('CActiveForm', array(  'action' => bu('feedbacks/create'))); ?>
      <?php echo $form->errorSummary($feedback); ?>

        <p>
          <label>Email *</label>
          <?php echo $form->textField($feedback,'email') ?>
          <?php echo $form->error($feedback, "email"); ?>
        </p>
        <p>
          <label>Name *</label>
          <?php echo $form->textField($feedback, 'name') ?>
          <?php echo $form->error($feedback, "name"); ?>
        </p>
        <p>
          <label>Subject *</label>
                  <?php echo $form->textField($feedback, 'subject') ?>
                  <?php echo $form->error($feedback, "subject"); ?>
        </p>
        <p>
          <label>Message *</label>
                  <?php echo $form->textArea($feedback, 'content') ?>
                  <?php echo $form->error($feedback, "content"); ?>
        </p>

        <fieldset>
          <legend>Please confirm captcha correctly</legend>
          <?php $form->widget('CCaptcha'); ?><br />
          <?php echo $form->textField($feedback, 'verifyCode'); ?>
          <?php echo $form->error($feedback, "verifyCode"); ?>
        </fieldset>

        <div class='spacer'>&nbsp;</div>
        <hr /><span class='footnote'>* Must not be blank</span>
        <div class='spacer'>&nbsp;</div>

        <input type='submit' value='Send Message' />
        <input type='reset' value='Reset' />
      <?php $this->endWidget(); ?>
	</div>

  <div class='rightPane'>
		<h2 class='differentAlign'>Our <span class='differentHeading'>Contact</span></h2>
		<div class="contact">
			<h3>ACSI Head Quarters</h3>
      731 Chapel Hills Drive Colorado Springs<br />
      CO 80920.3949<br />
      Phone : +1.719.528.6906<br />
      Fax : +1.719.531.0631<br />
      Email : info@acsiglobal.org
		</div>
    <div class="contact">
			<h3>ACSI Indonesia</h3>
      Komplek Ruko Klampis Megah B-25<br />
      Jl. Klampis Madya Utara I/6<br />
      Surabaya - Jawa Timur 60117<br />
      Phone/Fax : +62.31-591.0897, 591.3068<br />
      Phone : +62.31-592.9902<br />
      Mobile : +62.31-8193.5548<br />
      Email : acsi-indonesia@acsi.or.id<br />
      http://acsiglobal.org; acsi.or.id
		</div>
    <div class="contact">
			<h3>Indonesia Representative Office</h3>
      <b>Jakarta</b><br />
      Jl. Kwitang Raya No. 4, 3rd Floor<br />
      Senen - Jakarta Pusat 10420<br />
      Phone/Fax : +62.21-391.1207<br />
      Mobile : +62.31-3631-8020<br />
      Email : acsi-jakarta@acsi.or.id
		</div>
	</div>
</div>

<div class='spacer'>&nbsp;</div>